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Organization

SANTA YEKATERINA HOSPICE, INC.

Active
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Organization

SANTA YEKATERINA HOSPICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANTES VALENZUELA (CEO/PRESIDENT)
(818) 623-8888
Entity
Organization

Contact information

Practice address
5958 VINELAND AVE., SUITE J, NORTH HOLLYWOOD, CA 91601-1329
(818) 623-8888
(818) 623-0808
Mailing address
5958 VINELAND AVE., SUITE J, NORTH HOLLYWOOD, CA 91601-1329
(818) 623-8888
(818) 623-0808

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
CA
251G00000X
Community Based Hospice Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
550001494
CA
Enumeration date
07/22/2010
Last updated
12/22/2015
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